Symptoms Experienced by Heart Failure Patients in Hospice Care.
Symptoms Experienced by Heart Failure Patients in Hospice Care.
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心力衰竭患者在临终关怀中经历的症状。
DOI：
10.1097/njh.0b013e31827ba343
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
McMillan,Susan
中科院分区：
文献类型：
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作者：
Wilson,Johanna;McMillan,Susan
终末期心力衰竭患者是一个普遍的安宁疗护人群，具有独特的症状。本研究的目的是描述接受安宁疗护的心力衰竭患者所经历的症状的频率、严重程度和痛苦。抑郁症状与症状流行程度、严重程度和痛苦之间的关系也进行了研究。40名临终关怀终末期心力衰竭患者提供人口学资料及对心力衰竭记忆症状评估量表和情绪状态-抑郁量表的反应。患者报告平均出现12.1种症状（范围0-32）。报告的最常见症状是口干（72.5%）、精力不足（70%）和呼吸短促（65%）。症状的流行并不表明症状的严重程度和/或痛苦。患者平均有8种抑郁症状（范围0-10）。此外，大多数终末期心力衰竭患者表示他们仍然抱有希望。研究结果强调需要进一步研究晚期心力衰竭患者在安宁疗护中所经历的症状，以优化临床医师的症状管理。
End-stage heart failure patients are a prevalent hospice population with unique symptoms. The purpose of this study was to describe the frequency, severity, and distress of symptoms experienced by heart failure patients receiving hospice care. The relationships among depressive symptoms and symptom prevalence, severity, and distress were also examined. Forty patients with end-stage heart failure in hospice provided demographic information and responses to the Memorial Symptom Assessment Heart Failure Scale and the Profile of Mood States-Depression Scale. Patients reported experiencing a mean of 12.1 symptoms (range, 0-32). The most prevalent symptoms reported were dry mouth (72.5%), lack of energy (70%), and shortness of breath (65%). Symptom prevalence was not indicative of symptom severity and/or distress. Patients endorsed an average of 8 depressive symptoms (range, 0-10). Moreover, most end-stage heart failure patients indicated that they remained hopeful. The findings of the research underscore a need for further research into the symptoms experienced by end-stage heart failure patients in hospice to optimize symptom management by clinicians.